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2004, 04-30 Permit App: BLD-04-04240 Plumbing Reversal
+aro orj+1 � 11707 East Sprague Avenue,Suite 106 509-688-0036-Phone i�p0 ne Spokane Valley,WA 99Q06 509-688-0037-Fax Valley For Inspections, call 509-688-0054 Plumbing Permit Application PROJECT PERMIT ADDRESS: ia,2 Al Set, ( ,� USE: OWNER: R Li . - P -Q PHONE(Daytime Contact): c7 a 7_ © I 7 - MAILING ADDRESS: a .2 n) & ioi foea.vv, 0Ikey 99,/2 (street) (city/state) (ZIP) ✓ CONTRACTOR: iii„/_ < / _ Y� D 13 LICENSE#: 1i ` C O,` r y j,..23 k MAILING ADDRESS: J �Q PHONE#: J /V (street) (city/state) (LIP) • PLUMBING FIXTURES DESCRIPTION DETAILS #OF UNITS X COST EQUALS AMOUNT 1 TOILETS WATER CLOSET,BIDETS X $6 - 2 URINALS X $6 - 3 TUBS X $6 - 4 SHOWERS(PER TRAP) BATH,STALL,ON-SITE BUILT X $6 5 SINKS LAVS/BASINS,BAR,FLOOR,KITCHEN, LAUNDRY,UTILITY,JANITOR,PHOTO,X- X $6 - RAY,FOOD,PREP/CULINARY/MEAT 6 DISHWASHER X $6 - 7 CLOTHES WASHER X $6 .. 8 GARBAGE DISPOSAL X $6 - 9 WATER SOFTENER X $6 - 10 ELECT.HOT WATER TANK NOTE:IF GAS,SEE MECHANICAL X $6 - 11 FLOOR DRAINS AREA,CASE,COIL,TRENCH,CONDENSATE X $6 12 FOUNTAINS,DRINKING X $6 - 13 WATER PIPING/DRAIN-IN INSTALLATION,ALTERATION,REPAIR, / WASTE,VENT,PLUMBING. REVERSALS X $6 - (S1 O REVERSAL 14 SEWAGE EJECTOR GRINDER,SUMP PUMP X $6 - 15 WATER USING DEVICE ICE AND/OR COFFEE MAKER,HOSE BIB, STEAMER,PROOFER,CARBONATOR, X $6 - SWAMP COOLER 16 CROSS CONNECTION DEVICE VACUUM BREAKER,CHECK VALVE,AND X $6 - R.P.B.P.D.FOR:VATS,TANKS,BOILERS 17 SPRINKLER SYSTEM X $25 - 18 INTERCEPTORS GREASE TRAP,SAND TRAP,CHEMICAL HOLDING TANK X - 19 MEDICAL GAS per outlet NITROUS,OXYGEN X $6 - 20 MISC.PLUMBING FDCI'URE X $6 - SUBTOTAL: 1ETHOD OF PAYMENT UMW - VISA- • • real ,t£ PLUS PROCESSING FEE: $35.00 ] CASH ❑ CHECK ❑ El ._ - TOTAL PERMIT FEE DUE: 4/.00 )ATE: EXPIRES: ANKCARD NUMBER: UTHORIZED SIGNATURE: